내시경적 접근법을 이용한 침습성 진균성 부비동염의 두개내 병변의 수술적 치료 2례

Two cases of intracranial invasion of acute invasive fungal sinusitis treated with endoscopic endonasal approach

Acute invasive fungal sinusitis is an aggressive and often fatal infection. It is characterized by tissue invasion and can frequently spread beyond the paranasal sinuses. When fungal disease extends to the skull base, surgical debridement can be challenging. Traditionally, external approaches have been used for the management of disease in these areas. But recent advances in endoscopic skull base surgery have emerged as a successful surgical modality allowing for minimally invasive approaches with decreased morbidity and comparable treatment outcomes. We report our institution’s experience with endoscopic debridement of invasive fungal sinusitis extending beyond the skull base, safely performed with successful treatment outcome.